Symptoms

Symptoms include:

No movement by the fetus

Vaginal bleeding in the mother

Diagnosis

An
ultrasound
exam may be done. This will allow the doctor to examine the fetus and confirm that the heartbeat has stopped. During this exam, the doctor may be able to find out what caused the stillbirth.

After the woman has given birth, the doctor will further examine the fetus, placenta, and umbilical cord. An autopsy may be done if the parents request it. Tests can be ordered to find out if an infection or genetic disorder caused the baby’s death.

Treatment

After the doctor has confirmed that the fetus has died, the parents will be involved in the decision of timing delivery. Usually, planning a vaginal delivery is the safest approach. Sometimes, a cesarean section is necessary. If there are surviving fetuses in a mother giving birth to more than one baby, no intervention may be needed. The mother may choose to have labor induced by taking medications. Labor is usually induced by medications given vaginally, orally, or by IV.

While there is no immediate danger of waiting to deliver the baby, there is a risk of infection or a serious bleeding complication for the mother if delivery is postponed for weeks.

Therapy

Having a stillborn baby is a traumatic experience for the parents. They need time to grieve the loss of their child. Emotions like shock, anger, and sadness may feel overwhelming at times. A
therapist
who specializes in pregnancy loss can provide support, helping parents work through their grief. Joining a
support group
for parents who have also suffered a pregnancy loss can be another source of support.

Prevention

While there are no definite ways to prevent stillbirth, there are steps that couples can take to have a healthy pregnancy:

Before Becoming Pregnant

Women should have a preconception visit with their doctor. Conditions like diabetes or high blood pressure should be treated and controlled.

If a woman is overweight, ar doctor can recommend a weight loss program. This can include a
healthful diet
and
exercise.

Taking folic acid before becoming pregnant can prevent certain birth defects, and may reduce the risk of having a
miscarriage
or another stillbirth. Ask your doctor how much folic acid you should take each day.

If a couple has a genetic trait, they can work with a genetic counselor who can help determine the chance that their child may inherit that condition.

During Pregnancy

Go to all prenatal care visits.

If a woman has had a prior stillborn baby, the doctor may do additional testing during the current pregnancy. Tests will be done to track how the fetus is developing. Some doctors may recommend that women monitor kick counts closely during their pregnancy.

Smoking, drinking, and using drugs should be avoided during pregnancy.

Women should call their doctor right away if they notice decreased fetal movement or have vaginal bleeding.

RESOURCES

American Pregnancy Association
http://www.americanpregnancy.org

The American Congress of Obstetricians and Gynecologists
http://www.acog.org

Revision Information

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.